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The injured person, a responsible person completing the form on behalf of an injured person, or a responsible person reporting the incident must complete parts A, B, C and D. Please complete in block
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The injured person is the individual who has been harmed or injured in some way.
The injured person or someone acting on their behalf is required to file the injured person a.
The injured person a can be filled out by providing detailed information about the person who was injured, the nature of the injury, and any other relevant details.
The purpose of the injured person a is to document the details of the injury and ensure that the appropriate parties are aware of the situation.
Information such as the name of the injured person, date and location of the injury, description of the injury, and any medical treatment received must be reported on the injured person a.
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